Healthcare Provider Details

I. General information

NPI: 1871419135
Provider Name (Legal Business Name): NP SPOT HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7481 NW 35TH ST
LAUDERHILL FL
33319-4915
US

IV. Provider business mailing address

7481 NW 35TH ST
LAUDERHILL FL
33319-4915
US

V. Phone/Fax

Practice location:
  • Phone: 954-592-0460
  • Fax:
Mailing address:
  • Phone: 954-592-0460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KIM D JOLLY
Title or Position: APRN
Credential: PHD
Phone: 954-592-0460